Well Child Care

Question 1

Head circumference over first three months

Answer 1

2cm/month

Question 2

HC growth months 3 to 6 months

Answer 2

1cm/month

Question 3

HC growth 6 months to 1 year

Answer 3

0.5cm/month

Question 4

HC 1 year to age 3

Answer 4

0.25cm/month

Question 5

HC grow age 4 to 6

Answer 5

1 cm / year

Question 6

HC 6 through adolescence

Answer 6

additional 2 or 3 CM during mid childhood

Question 7

Most common cause micrcephaly?

Answer 7

familial; autosomal dominant

or chromosomal

Question 8

Signs of familial macrocephaly

Answer 8

no s/s neurological; family head circumferences are large as well

Question 9

Weight gain first 3 months

Answer 9

20 to 30 g/day

Question 10

Weight gain by age 6 months

Answer 10

double birth weight

Question 11

weight gain by 1 year

Answer 11

triple birth weight

Question 12

When does birth length double

Answer 12

age 3 to 4

Question 13

When do most preterm infants have weight check up by? height?

Answer 13

• weight 2 years

- height 2.5 years

Question 14

Neonatal Developmental milestones

Answer 14

• flexed when prone; extended when supine
• no side preference
• can see 8 to 12 inches
• fix on bright object / face
• turns to voice
• positive moro, step, place, and grasp reflex

Question 15

Development 2 months

Answer 15

• head up in prone
• tonic neck posture while supine
• head lag that is improving
• head sustained with body place during ventral suspension
• tracks object / face 180 degrees
• social smile
• coos

Question 16

Is it abnormal if a 2 month old doesn’t fixate on objects

Answer 16

yes

Question 17

Gross development 4 months

Answer 17

• rolls prone to supine
• can lift head while prone
• no head lag pull to sit
• can hold head while supported sit
• push with feet when standing supported

Question 18

Find Motor 4 months

Answer 18

• reaching for and grasps object with WHOLE hand; no grasp

- visually fixes on small objects

Question 19

Language 4 months

Answer 19

• laughs and squeals

- initiates social contacts

Question 20

6 month gross

Answer 20

• rolls both ways (by 7 for sure)
• sits tripod
• bounces with supported stand

Question 21

6 months fine motor

Answer 21

• rakes in objects

- reaches and grasps large objects and transfers between hands

Question 22

6 months language

Answer 22

• babbles; tries to imitate consonants

- turns directly to sound and voice

Question 23

Gross motor 9 months

Answer 23

• sits without support with back straight
• pull to stand and cruises (10 to 12 months)
• might start creeping / crawling

Question 24

Find Motor 9 months

Answer 24

• immature pincer grasp (thumb and index)
• pokes with forefinger
• holds objects and bangs together
• feeds with fingers
• pat a cake

Question 25

Language Development 9 months

Answer 25

- nonspecific mama/dad - understands nam - recognizes objects - waves bye bye

Question 26

At what age is lack of consonant babbling abnormal?

Answer 26

9 months

Question 27

How often do you evaluate for TB

Answer 27

start at 1 year and re-evaluate every 6 months to age 2; then yearly

Question 28

Studies done at 1 year visit

Answer 28

- lead | - Hgb/Hct; TB if high risk

Question 29

Gross motor 1 year

Answer 29

- pulls to stand and cruises - walks holding one hand with or without independent steps - throws a ball

Question 30

Fine motor 1 year

Answer 30

-full pincer grasp and release

Question 31

Language 1 year

Answer 31

- mama and dad specifically - at least one other word - -start of stranger anxiety

Question 32

Gross motor 15 months

Answer 32

- walk alone - stoops - cralws up stairs - plays ball

Question 33

Fine motor 15 months

Answer 33

- small object into bottle - tower 2 to 3 blocks - copies a line with a cryon - drinks from a cup

Question 34

Language 15 months

Answer 34

- three to 6 specific words - jargon - follows simple commands - points - hugs

Question 35

Gross Motor 18 months

Answer 35

- runs - walks up steps with one hand held - MUST WALK BY THIS POINT

Question 36

Fine motor 18 months

Answer 36

- builds tower of three to 4 blocks - scribbles - feed self with spoon

Question 37

Language 18 months

Answer 37

- imitates household work - 7 to 10 words - needs and wants - knows one or more body parts - kisses

Question 38

Gross motor 2 years

Answer 38

- runs - walks up and down steps one foot at a time - climbs on furniture - jumps with both feet - throw ball overhand - kicks ball

Question 39

Fine Motor 2 years

Answer 39

- tower 7 blocks - circle scribles - feeds self with spoon and fork - helps undress self

Question 40

Language 2 years

Answer 40

- 50 words | - 3 words together

Question 41

Gross motor 3 year olds

Answer 41

- pedals a tricycle - briefly stand on 1 fooot - broad jump

Question 42

Fine Motor 3 year old

Answer 42

- cross and circle - 10 blocks - helps dressing - washes hands

Question 43

Language 3 year old

Answer 43

- 75% is intelligble - simple commands - knows age and gender - sentences 5 to 8 words - parallel play - repeats 3 numbers - counts 3 objects

Question 44

Gross Motor 4 year old

Answer 44

- stands on 1 foot for 3 seconds | - hops on one foot

Question 45

Fine Motor 4 years old

Answer 45

- scissors to cute out pics - cross and square - simple person (head and 2 to 4 body parts)

Question 46

Speech 4 eyar old

Answer 46

- all intelligible - 4 objects - tells a story - plays with children - pretend play - potty train

Question 47

Gross Development 5 year old

Answer 47

-climbs steps with atlernating feet

Question 48

Fine motor 5 year old

Answer 48

- copies triangle - person with 6 body parts - dresses and undresses - ties shoes - board games and cards

Question 49

Language 5 year old

Answer 49

- knows 4 colors - counts 10 objects - domestic role plalying

Question 50

Development 6 year old

Answer 50

-rides bicycle without training wheels -writes name -knows left vs right across midline -